May 3, 2023: MGMA statement on latest data on prior authorization within the Medicare Advantage program

MGMA statement on the latest data on prior authorization within the Medicare Advantage program

Anders Gilberg
Senior Vice President, Government Affairs
Medical Group Management Association
 

“With half of all Medicare beneficiaries enrolled in private Medicare Advantage (MA) plans, prior authorization reform has taken on new urgency at the federal level. Medical groups now identify prior authorization in the MA program as more burdensome than commercial insurance and Medicaid. More needs to be done to protect beneficiaries. MGMA supports commonsense policies that alleviate onerous administrative requirements and improve the timeliness of clinical care delivery. Efforts to streamline, standardize, and ultimately reduce the volume of prior authorization demands on medical practices such as CMS’ proposed Prior Authorization and Interoperability Rule, and the Improving Seniors’ Timely Access to Care Act in Congress, will further strengthen and modernize the MA program.”
 

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View the full report here